TMHP is continually adding information to the PEMS Instructional Site. Please check back often for updates.
To proceed with your enrollment application, click on the "Enroll Today" button below.
These pages will guide you through the process of enrolling as a provider using TMHP's Provider Enrollment and Management System (PEMS) tool. Additional helpful resources are available on the Enrollment Help page and the TMHP YouTube channel.
To begin, please select the type of application you will be completing. The Application Type you select will determine how TMHP processes your application.
Select an option below for a description of each application type:
A new enrollment refers to a National Provider Identifier (NPI) or Atypical Provider Identifier (API) that has never been enrolled in Texas Medicaid or other state health-care programs, and is enrolling for the first time. To continue with this option, click here.
Select this option if you are currently enrolled, but have a new Medicare number, a new practice location, a change of ownership, a new provider type or specialty, or to enroll in additional State Health-Care Programs. To continue with this option, click here.
The Affordable Care Act (ACA) requires providers to submit a Revalidation application at the end of their enrollment period. Providers can find the effective and end dates of their enrollment period in PEMS and on their Provider Welcome letter. Providers should submit their Revalidation applications at least 120 days before the end of their enrollment period so that the Revalidation process can be completed before the enrollment period ends. Providers who do not submit the Revalidation application by the Revalidation Due Date must submit a Reenrollment application. To continue with this option, click here.
A reenrollment is when a provider submits an Enrollment application after being disenrolled, terminated, excluded, or otherwise removed as a provider. The provider must submit a Reenrollment application if they did not submit a Revalidation application by Revalidation Due Date or previously requested date for disenrollment or removal from the program. The provider will receive the same risk category assignment and go through the same provider screening activities as a newly enrolling provider. To continue with this option, click here.
Select this option if you require updates to your existing NPI-based enrollment record. Within the Edit Enrollment screen, the available options for Request Type or Request Actions will be based on the Enrollment Status of your enrollment record as well as the status of any maintenance request that is being processed. To continue with this option, click here.